Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.58 / $745.89 / $745.89	Professional		$416.58	$745.89	$745.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.44 / $1,124.04 / $1,279.67	Professional		$993.44	$1,124.04	$1,279.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $715.94 / $1,279.28	Professional		$419.05	$715.94	$1,279.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $1,200.99 / $8,586.74	Facility		$655.04	$1,200.99	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.13 / $1,059.40 / $3,384.32	Professional		$585.13	$1,059.40	$3,384.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $1,383.83 / $3,170.91	Facility		$815.00	$1,383.83	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $746.00 / $993.44 / $1,383.83	Professional		$746.00	$993.44	$1,383.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $784.00 / $1,131.20	Professional		$3.00	$784.00	$1,131.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.44 / $929.12 / $1,425.07	Professional		$503.44	$929.12	$1,425.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $860.60 / $860.60 / $1,012.40	Professional		$860.60	$860.60	$1,012.40